Escambia Co. Assisted Living Facility: ‘High risk for an outbreak’

According to yesterday’s situation report (SITREP) from the Escambia County Emergency Operations Center, a Level II response team has been requested for “an ALF that has been determined to be a high risk for an outbreak, according to the Long Term Care Response Plan.” The facility has two positive COVID-19 cases and four cases exhibiting respiratory symptoms.

Last night, DOH reported that Escambia County has eight positive COVID-19 cases concerning staff or residents of local assisted living facilities.

At Commissioner Jeff Bergosh’s virtual “Coffee with the Commissioner” this morning, Inweekly submitted a question for County Administrator Janice Gilley about the name of the ALF (assisted living facility). Bergosh passed the question to Emergency Management Director Eric Gilmore who said he wasn’t sure that he could release the name.

Gilmore did say that the Florida Department of Health is bringing in a Level 3 team to work with the ALF.  Inweekly will report more on the “Coffee” later today.

The News Service of Florida reported (below) AARP Florida State Director Jeff Johnson has called for the state to be more transparent with the public about the long-term care facilities with COVID-19 cases.

“While AARP Florida is confident that senior officials of the state of Florida care deeply for older Floridians, we also know that more could be done to protect the frailest of the frail,” Johnson said in a prepared statement. “We need significantly more testing of workers and residents to proactively contain the virus and adequate supplies of protective gear for frontline workers in these facilities to prevent its spread.”

According to EOC report, the Escambia County Sheriff’s Office is nearly back to full staffing. The ECSO has seven employees self­-quarantining (combination of civilian and sworn staff). No reported manpower shortages. No interruption to the response to calls for service.

Hospital Information Totals, as of 1620 4/07/20 (All hospitals updated)​

  • Bed Capacity 1334 ​
  • Bed Occupancy 677​
  • Beds Available 657​

Ventilator Information, as of 1620 4/7/20​

  • Total ventilators 218 ​
  • Available ventilators 165

Mental Health
EOC has become concerned about the mental health of the community and is considering tracking of 211 referrals as one source for identifying a trend in mental health/substance abuse needs.


LONG TERM CARE SEES MAJOR INCREASE IN COVID-19 CASES

TALLAHASSEE — The number of reported COVID-19 infections at nursing homes and assisted living facilities has quintupled during the past week, increasing to 380 cases in 41 Florida counties.

Despite the increases, state health officials won’t say whether there is “community spread” in long-term care facilities of the novel coronavirus, which causes COVID-19.

But while Gov. Ron DeSantis’ administration remains tight-lipped, Live Oak City Council member Don Allen has seen the number of coronavirus cases in his rural county increase to 33, including 28 long-term care cases.

Allen told The News Service of Florida on Tuesday that the long-term care cases in Suwannee County stem from the Suwannee Health and Rehabilitation Center in Live Oak, about two blocks from where he lives.

“This nursing home is in my district and so I consider these people my constituents, and somebody has got to care for them,” Allen said, explaining his decision to speak with the press about the nursing home. “I’ve spoken with employees there who want to remain anonymous for fear of losing their jobs, but they are scared. They want the National Guard to come in there and clean the place up.”

Suwannee Health and Rehabilitation Center did not reply to requests for comment Tuesday. Neither did the Suwannee County Emergency Operations Center.

Allen said he has kept abreast of infections in the facility through extended family members and friends who have loved ones there. He also reviews state data.

And on Monday, Allen sat in his parked car outside the facility to watch the comings and goings.

“I worry about the people. I know them. I know those who work there,” Allen said. “I don’t want to be like the place in Seattle on TV every night where they start hauling them out of there, dead.”

As of Tuesday evening, Florida had 14,747 cases of novel coronavirus and 296 deaths. COVID-19 is a respiratory disease that can be particularly deadly to seniors and people with other health conditions.

Cases involving residents and staff members of long-term care facilities had jumped to 380 in 41 counties as of Tuesday evening, up from 69 cases in 11 counties a week ago.

Agency for Health Care Administration Secretary Mary Mayhew said federal infection-control survey teams visited long term care facilities in a handful of Florida counties last week. The teams were sent into what the federal Centers for Medicare and Medicaid Services identified as potential problem spots.

The DeSantis administration generally hasn’t been forthcoming with details about long-term care cases, including how many residents have died. Florida Department of Veterans’ Affairs spokesman Steve Murray, though, confirmed that one death involved a resident of the Alexander “Sandy” Nininger State Veterans’ Nursing Home in Pembroke Pines.

In all, Murray said five veterans at the nursing home have tested positive for COVID-19.

AARP Florida State Director Jeff Johnson has called for the state to be more transparent with the public about the long-term care facilities with COVID-19 cases. In a prepared statement, Johnson said the public needs “more information on which facilities are affected with cases and fatalities so families and the community at large can have peace of mind that they are being kept fully informed.”

The Agency for Health Care Administration did not reply to questions about community spread of the virus in long-term care facilities or steps the state is taking to assure family members that residents are being kept safe. Community spread generally means a disease is spreading but the source is not known.

The spread of COVID-19 among Florida seniors could be particularly deadly. The state has 691 nursing homes that provide 84,258 beds and another 3,000-plus licensed ALFs that offer 106,103 beds.

A federal Centers for Disease Control and Prevention report on a Seattle-area nursing home found that coronavirus “has the potential to result in high attack rates among residents, staff members and visitors” after being introduced into facilities.

AARP Florida also has asked the state to increase the amount of testing for the virus in residents and staff members.

“While AARP Florida is confident that senior officials of the state of Florida care deeply for older Floridians, we also know that more could be done to protect the frailest of the frail,” Johnson said in a prepared statement. “We need significantly more testing of workers and residents to proactively contain the virus and adequate supplies of protective gear for frontline workers in these facilities to prevent its spread.”

At a news conference Tuesday in Tallahassee, DeSantis said the Department of Health had secured fast-acting COVID 19 tests from manufacturer Abbott Labs and that they will be sent to various areas of the state.

“This really gives you a lot of options, particularly when you have somebody in a nursing home,” DeSantis said, adding that the tests could be used on nursing home residents who have been transferred to hospitals.

There has been growing tension between hospitals and nursing homes about whether long-term care residents need to be tested for COVID-19 before being transferred from hospitals back to nursing homes.

“Obviously, if they are COVID positive in a nursing home, that could create an outbreak,” DeSantis said. “Now you have the ability to really know, and if you have somebody who may be sick but doesn’t have COVID, well then that is a much different situation.”


TOP 20 Florida Counties

Rank County Population Cases Per 30K
1 Dade     2,715,516 5126           56.63
2 Broward        924,229 2230           72.38
3 Palm Beach     1,446,277 1159           24.04
4 Orange     1,321,194 768           17.44
5 Hillsborough     1,378,883 608           13.23
6 Duval        924,229 521           16.91
7 Lee        718,679 439           18.33
8 Pinellas        957,875 387           12.12
9 Collier        363,922 271           22.34
10 Osceola        338,619 256           22.68
11 Seminole        455,086 202           13.32
12 Polk        668,671 199             8.93
13 Sarasota        412,144 173           12.59
14 Escambia        311,522 168           16.18
15 Manatee        373,853 164           13.16
16 Volusia        527,634 163             9.27
17 St. Johns        235,503 154           19.62
18 Alachua        263,148 139           15.85
19 Lake        335,362 122           10.91
20 St. Luice        305,591 122           11.98
Pasco        510,593 122             7.17

BY THE NUMBERS: CORONAVIRUS — TUESDAY EVENING EDITION

TALLAHASSEE — The Florida Department of Health released updated numbers Tuesday evening about the coronavirus in the state. Here are some takeaways:

— 14,747: Total number of cases.

— 243: Increase in cases from a Tuesday morning count.

— 296: Deaths of Florida residents.

— 13: Increase in deaths from a Tuesday morning count.

— 1,894: Florida residents hospitalized.

— 380: Cases involving residents or staff members of long-term care facilities.

— 5,126: Cases in Miami-Dade County, the largest number in the state.

— 768: Cases in Orange County, the largest number in the middle of the state.

— 608: Cases in Hillsborough County, the largest number in the Tampa Bay area.

— 521: Cases in Duval County, the largest number in Northeast Florida.

— 439: Cases in Lee County, the largest number in Southwest Florida.

— 168: Cases in Escambia County, the largest number in Northwest Florida.

— 5: Counties with one case each (Dixie, Gilchrist, Gulf, Hamilton and Taylor.)

Source: Florida Department of Health